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{"negotiation_arrangement":"ffs","name":"Interfyl, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4171","description":"Interfyl, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"PalinGen or PalinGen XPlus, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4173","description":"PalinGen or PalinGen XPlus, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Miroderm, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4175","description":"Miroderm, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"FlowerAmnioPatch, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4178","description":"FlowerAmnioPatch, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Revita, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4180","description":"Revita, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Cellesta or Cellesta Duo, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4184","description":"Cellesta or Cellesta Duo, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Epifix, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4186","description":"Epifix, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"AmnioArmor, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4188","description":"AmnioArmor, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Epicord, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4187","description":"Epicord, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Artacent AC, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4190","description":"Artacent AC, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Restorigin, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4191","description":"Restorigin, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"PuraPly XT, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4197","description":"PuraPly XT, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"PuraPly AM, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4196","description":"PuraPly AM, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
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{"negotiation_arrangement":"ffs","name":"WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4217","description":"WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
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{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR or AltiPly, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4235","description":"AMNIOREPAIR or AltiPly, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"carePATCH, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4236","description":"carePATCH, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
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{"negotiation_arrangement":"ffs","name":"CoreText or ProText, per cc","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4246","description":"CoreText or ProText, per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Amniotext patch, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4247","description":"Amniotext patch, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Dermacyte Amniotic Membrane Allograft, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4248","description":"Dermacyte Amniotic Membrane Allograft, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Vendaje, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4252","description":"Vendaje, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Zenith Amniotic Membrane, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4253","description":"Zenith Amniotic Membrane, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Enverse, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4258","description":"Enverse, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Celera Dual Layer or Celera Dual Membrane, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4259","description":"Celera Dual Layer or Celera Dual Membrane, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Dual Layer Impax Membrane, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4262","description":"Dual Layer Impax Membrane, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"SurGraft TL, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4263","description":"SurGraft TL, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"NeoStim DL, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4267","description":"NeoStim DL, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Complete FT, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4271","description":"Complete FT, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"EPIEFFECT, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4278","description":"EPIEFFECT, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Barrera SL or Barrera DL, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4281","description":"Barrera SL or Barrera DL, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
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{"negotiation_arrangement":"ffs","name":"Biovance Tri-Layer or Biovance 3L, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4283","description":"Biovance Tri-Layer or Biovance 3L, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
{"negotiation_arrangement":"ffs","name":"Procenta, per 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4310","description":"Procenta, per 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[2096429367]}]},
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